MercyOne Elkader Medical Center
901 Davidson St. NW, Elkader, IA · MercyOne · · NPI 1184645434
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $188.75 | $188.75 | $59.19 – $120.20 | 42 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $48,786.25 | $48,786.25 | $9,480.00 – $50,991.39 | 113 |
| Toxoplasma antibody igg CPT 86777 | $79.30 | $122.00 | $14.39 – $127.51 | 42 |
| Toxoplasma antibody igm CPT 86778 | $62.40 | $96.00 | $14.41 – $100.34 | 42 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $11,842.80 | $11,842.80 | $4,192.10 – $12,378.09 | 113 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $10.60 | $10.60 | $2.00 – $11.08 | 113 |
| Transferrin CPT 84466 | $109.85 | $169.00 | $86.98 – $176.64 | 42 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $558.35 | $859.00 | $442.13 – $897.83 | 42 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,708.00 | $4,708.00 | $1,250.55 – $4,886.62 | 113 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $10,508.35 | $10,508.35 | $649.20 – $2,891.08 | 113 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $9,357.40 | $9,357.40 | $429.30 – $3,517.41 | 113 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,798.25 | $4,305.00 | $1,772.63 – $3,599.67 | 42 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $699.55 | $1,076.23 | $31.40 – $63.76 | 42 |
| Tray trach basic clean/care ster HCPCS A4626 | $0.57 | $0.87 | $0.45 – $0.91 | 42 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $127,265.40 | $127,265.40 | $3,862.00 – $11,084.82 | 113 |
| Treponema pallidum antibody CPT 86780 | $130.00 | $200.00 | $13.24 – $209.04 | 42 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $43.05 | $43.05 | $22.16 – $45.00 | 42 |
| Triglycerides CPT 84478 | $50.05 | $77.00 | $5.63 – $77.00 | 42 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $8,065.15 | $8,065.15 | $1,617.00 – $8,429.69 | 113 |
| Trim nail(s) HCPCS G0127 | $70.00 | $70.00 | $2.68 – $55.00 | 767 |
| Troponin quantitative CPT 84484 | $970.00 | $192.00 | $9.09 – $200.68 | 42 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $17.68 | $27.20 | $14.00 – $28.43 | 42 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $416.99 | $641.52 | $1.74 – $3.54 | 42 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | $2.78 | $4.27 | $1.01 – $2.06 | 42 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $128.15 | $197.15 | $0.57 – $1.15 | 42 |
| Ua w/micro/comp poc CPT 81000 | $11.04 | $9.00 | $3.22 – $9.00 | 768 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $35,496.45 | $35,496.45 | $10,785.00 – $37,100.89 | 113 |
| Ultrasound breast complete CPT 76641 | $799.50 | $1,230.00 | $91.69 – $857.06 | 42 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $729.30 | $1,122.00 | $75.49 – $781.81 | 42 |
| Ultrasound joint complete left CPT 76881 | $642.85 | $989.00 | $509.04 – $1,033.70 | 42 |
| Unit mobile power mpu HCPCS Q0479 | $11,821.68 | $18,187.20 | $9,360.95 – $19,009.26 | 42 |
| Unlisted procedure microbiology CPT 87999 | $2,388.75 | $3,675.00 | $1,891.52 – $3,841.11 | 42 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $201.50 | $310.00 | $159.56 – $324.01 | 42 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,330.55 | $2,047.00 | $1,053.59 – $2,139.52 | 42 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,551.90 | $3,926.00 | $2,020.71 – $4,103.46 | 42 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $261.30 | $402.00 | $206.91 – $420.17 | 42 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $333.45 | $513.00 | $264.04 – $536.19 | 42 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $14,658.80 | $1,386.00 | $3.87 – $1,448.65 | 113 |
| Urea nitrogen CPT 84520 | $42.25 | $65.00 | $33.46 – $67.94 | 42 |
| Urea nitrogen 24 hour urine CPT 84540 | $54.60 | $84.00 | $43.23 – $87.80 | 42 |
| Uric acid blood CPT 84550 | $57.85 | $89.00 | $45.81 – $93.02 | 42 |
| Uric acid urine CPT 84560 | $66.30 | $102.00 | $4.98 – $102.00 | 42 |
| Urinalysis microscopic only CPT 81015 | $31.85 | $49.00 | $25.22 – $51.21 | 42 |
| Urinalysis (with microscopy) CPT 81001 | $509.00 | $68.00 | $9.09 – $71.07 | 42 |
| Urinalysis (without microscopy) CPT 81003 | $387.00 | $61.00 | $1.80 – $63.76 | 780 |
| Urine Culture Test CPT 87086 | $58.50 | $90.00 | $46.32 – $94.07 | 42 |
| Urine pregnancy test CPT 81025 | $42.25 | $65.00 | $6.03 – $67.94 | 780 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $6,677.00 | $6,677.00 | $1,727.70 – $6,978.80 | 113 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $45,913.60 | $45,913.60 | $3,644.10 – $47,988.89 | 113 |
| Vaccine Administration (one shot) CPT 90471 | $95.55 | $147.00 | $5.09 – $45.00 | 780 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $273.00 | $420.00 | $161.65 – $438.98 | 113 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $533.00 | $820.00 | $147.06 – $857.06 | 113 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $98.15 | $151.00 | $77.72 – $168.37 | 113 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $65.65 | $101.00 | $51.98 – $105.57 | 113 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $49.40 | $76.00 | $39.12 – $79.44 | 113 |
| Vaccine dtap < 7 years im CPT 90700 | $142.05 | $142.05 | $26.25 – $53.31 | 113 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $513.00 | $513.00 | $75.66 – $153.64 | 113 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $301.15 | $301.15 | $43.23 – $111.26 | 553 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $128.70 | $198.00 | $101.91 – $206.95 | 113 |
| Vaccine dtap-ipv/hib im CPT 90698 | $98.15 | $151.00 | $77.72 – $157.83 | 113 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $37.05 | $57.00 | $29.34 – $59.58 | 113 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $35.10 | $54.00 | $13.17 – $56.44 | 113 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $135.85 | $209.00 | $72.68 – $218.45 | 113 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $118.95 | $183.00 | $94.19 – $191.27 | 113 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $185.55 | $185.55 | $34.48 – $70.03 | 113 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $45.50 | $70.00 | $36.03 – $73.16 | 42 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $54.60 | $84.00 | $43.23 – $87.80 | 113 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $345.70 | $345.70 | $60.81 – $219.49 | 780 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $310.70 | $478.00 | $177.56 – $499.61 | 113 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $138.80 | $138.80 | $31.67 – $94.07 | 113 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,547.80 | $1,547.80 | $194.04 – $394.04 | 113 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $215.15 | $331.00 | $170.37 – $345.96 | 42 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $197.00 | $219.00 | $51.83 – $228.90 | 779 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $197.00 | $197.00 | $42.72 – $197.00 | 779 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $20.15 | $31.00 | $15.96 – $32.40 | 113 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $71.00 | $71.00 | $15.44 – $49.00 | 779 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $40.95 | $63.00 | $18.44 – $65.85 | 113 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $150.15 | $231.00 | $67.98 – $241.44 | 113 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $19.50 | $30.00 | $15.44 – $31.36 | 113 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $43.55 | $67.00 | $19.73 – $70.03 | 113 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $20.80 | $32.00 | $9.22 – $33.45 | 113 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $53.95 | $83.00 | $24.50 – $86.75 | 113 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $142.35 | $219.00 | $64.51 – $228.90 | 113 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $499.85 | $769.00 | $49.50 – $803.76 | 113 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $31.20 | $48.00 | $11.03 – $50.17 | 113 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,156.10 | $1,156.10 | $143.09 – $290.57 | 113 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $161.20 | $248.00 | $127.65 – $259.21 | 113 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $142.35 | $219.00 | $112.72 – $228.90 | 113 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $813.00 | $813.00 | $86.59 – $614.58 | 556 |
| Vaccine mmr live subcutaneous CPT 90707 | $466.05 | $466.05 | $62.79 – $127.51 | 113 |
| Vaccine mmrv live subcutaneous CPT 90710 | $621.00 | $621.00 | $95.64 – $649.07 | 554 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $556.15 | $556.15 | $133.47 – $415.99 | 113 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $499.85 | $769.00 | $257.99 – $803.76 | 113 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $477.10 | $734.00 | $261.15 – $767.18 | 113 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,376.55 | $1,376.55 | $257.09 – $898.87 | 779 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $36.40 | $56.00 | $28.82 – $58.53 | 113 |
| Vaccine rabies im CPT 90675 | $1,998.80 | $1,998.80 | $312.03 – $1,742.35 | 113 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $251.55 | $387.00 | $199.19 – $404.49 | 113 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $421.85 | $649.00 | $334.04 – $678.33 | 113 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $421.85 | $649.00 | $334.04 – $678.33 | 113 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.